PURE RECOVERY INC. (NPI# 1861778680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861778680 |
| Entity Type | Organization |
| Organization Name | PURE RECOVERY INC. |
| Practice Address |
19406 Norwood St Detroit MI 48234-1870 |
| Mailing Address |
20490 Harper Ave Suite 113 Harper Woods MI 48225-1645 |
| Practice Telephone | 3132316049 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | MR. PHILLIP SIMMONS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3132316049 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 823101 | MI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PURE RECOVERY INC | 19406 Norwood St, Detroit, MI 48234-1870 |
| Street Address |
19406 NORWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457718165 | Shar Inc. | Substance Abuse Rehabilitation Facility | 9961 Patton St, Detroit, MI 48228-1217 | 2016-01-26 |
| 1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
| 1003180902 | Cherry Streat Health Services | Substance Abuse Rehabilitation Facility | 11105 E Jefferson Ave, Detroit, MI 48214-3317 | 2012-02-24 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1396047239 | Renaissance Recovery | Substance Abuse Rehabilitation Facility | 5250 John R St, Detroit, MI 48202-4030 | 2010-11-29 |
| 1912227075 | Juda Transitional & Recovery House | Substance Abuse Rehabilitation Facility | 5579 Vancouver St, Detroit, MI 48204-3607 | 2010-06-10 |
| 1386974913 | Stategies of Life Outreach Centers | Substance Abuse Rehabilitation Facility | 17850 Mcdougall St, Detroit, MI 48212-1040 | 2010-01-04 |
| 1922335181 | Robert IIi Baptiste Thompson | Substance Abuse Rehabilitation Facility | 2616 Puritan St, Detroit, MI 48238-1420 | 2009-11-09 |
| 1013143676 | Marian's Center for Woman's Growth | Substance Abuse Rehabilitation Facility | 5247 Sheridan St, Detroit, MI 48213-2868 | 2009-06-09 |
| 1144469461 | Lakeridge Village, Inc. | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2009-02-10 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.